DR. CLINTON JAMES SMITH (NPI# 1992944128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992944128 |
| Entity Type | Individual |
| Full Name | DR. CLINTON JAMES SMITH |
| Credential | PHARMD |
| Practice Address |
1408 19th Ave Fairbanks AK 99701-5903 |
| Practice Telephone | 9074593807 |
| Mailing Telephone | 9074593807 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 1772 | AK | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
1772 | AK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912339854 | Clinton Smith | Behavioral Analyst | 2 University Ct, Apt A7, Martin, TN 38237-4002 | 2013-08-02 |
| 1255512679 | Clinton M Smith | Nurse Anesthetist, Certified Registered | 14127 Roaring Fork Cir, Broomfield, CO 80023-3929 | 2007-11-14 |
| 1891791984 | Clinton M Smith | Chiropractor | 14015 Jamestown Rd, Breese, IL 62230-3647 | 2005-06-23 |
| 1679081988 | Clinton Smith | Pharmacist | 2171 S Highland Ave, Jackson, TN 38301-7739 | 2018-01-21 |
| 1811387905 | Clinton Karel Smith | Registered Nurse | 800 W 5th Ave, Spokane, WA 99204-2803 | 2015-01-28 |
| 1336585926 | Clinton Boone Smith | Family Medicine | 1300 Creason Rd, Corning, AR 72422-1716 | 2013-05-22 |
| 1164764932 | Clinton James Smith | Psychologist | 6363 Forest Park Rd, Dallas, TX 75390-2553 | 2013-03-20 |
| 1710258538 | Clinton R. Smith | Nurse Practitioner | 1111 6th Ave, Des Moines, IA 50314-2613 | 2012-01-25 |
| 1467586297 | Clinton Smith | Physical Therapist | 8 Professional Drive, Houma, LA 70360 | 2007-03-15 |
| 1306870662 | Clinton R. Smith | Radiology | 620 Crossover Rd, Tupelo, MS 38801-4944 | 2006-07-10 |
| Street Address |
1408 19TH AVE |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-5903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699763342 | Dean Latham Zuelsdorf | Psychologist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2005-10-06 |
| 1518214675 | Stasha Goodin | Pharmacist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2012-08-08 |
| 1518213685 | Derek M Weber | Pharmacist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2012-07-26 |
| 1962757435 | Janet Richardson | Pharmacist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2012-07-19 |
| 1083977961 | Carol Indorf | Registered Nurse | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2012-06-17 |
| 1891097697 | Chief Anedrew Isaac Health Center | Clinic/Center | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2010-11-30 |
| 1700114733 | Christinia Yvonne Smith | Licensed Practical Nurse | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2009-12-02 |
| 1487807749 | Susan Louise Robinson | Licensed Practical Nurse | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2008-10-30 |
| 1548422884 | Rita S Osborne | Dietitian, Registered | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2008-06-27 |
| 1174784391 | Kimberly Lynn Gebauer | Registered Nurse | 1408 19th Ave, 4th Floor, Clinical Nursing, Fairbanks, AK 99701-5903 | 2008-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114263167 | Brian D Schilling | Pharmacist | Pcc Pharmacy, 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2012-12-19 |
| 1093366601 | Heather Heidorn | Pharmacist | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2019-09-25 |
| 1861043564 | Ashley Lourilea Hunsucker | Pharmacist | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2019-09-24 |
| 1356990808 | Philip Quintero | Pharmacist | 1501 Huffman Rd, Anchorage, AK 99515-3596 | 2019-09-07 |
| 1780169094 | Michael Kristopher Frazier | Pharmacist | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2018-10-02 |
| 1932682127 | Devin Benjamin Drummond | Pharmacist | 1000 Greg Kruschek Ave, Nome, AK 99762 | 2018-09-13 |
| 1609379726 | Michael Bolan | Pharmacist | 4076 Neely Road, Fort Wainwright, AK 99709 | 2018-03-15 |
| 1093244287 | Lauren Elizabeth Kaleta | Pharmacist | 106 Lincoln St, Sitka, AK 99835-7540 | 2017-06-09 |
| 1164956421 | Stephen John Sullivan Jr. | Pharmacist | 5955 Zeamer Ave # 673mdg, Jber, AK 99506-3702 | 2017-04-13 |
| 1346608445 | Allorie Timon Caldwell | Pharmacist | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2016-02-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.